Experiences of patients and healthcare professionals of NHS cardiovascular health checks: a qualitative study
Experiences of patients and healthcare professionals of NHS cardiovascular health checks: a qualitative study
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DOI：
10.1093/pubmed/fdv121
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发表时间：
2016-09-01
影响因子：
4.4
通讯作者：
Horwood, J.
中科院分区：
文献类型：
--
作者：
Riley, R.;Coghill, N.;Horwood, J.
背景 NHS 健康检查是英格兰和威尔士的国家心血管风险评估和管理计划。我们调查了参与 NHS 健康检查的患者和医疗保健专业人员 (HCP) 的经历。方法 对从不同社会经济地区的 8 个全科诊所招募的 28 名患者和 16 名 HCP 进行了有目的的抽样调查。访谈内容均经过录音、转录、匿名化处理并按主题进行分析。 结果 由于健康信念、该计划的认知价值、心血管和其他疾病的家族史以及接受一般健康评估的期望，患者积极参加 NHS 健康检查。一些患者报告了一些好处，包括放心和强化健康的生活方式。其他人对如何传达结果和建议感到困惑和沮丧，有些人对其结果的影响了解甚少。 HCP 对一些工作人员能否胜任传达风险和生活方式信息的技能提出了担忧。 结论 为了提高就诊患者的满意度并促进生活方式改变，进行 NHS 健康检查的 HCP 需要充分的培训，使他们具备适当的技能和知识，以有效地提供服务。
Background NHS Health Checks area national cardiovascular risk assessment and management programme in England and Wales. We examined the experiences of patients attending and healthcare professionals (HCPs) conducting NHS Health Checks.Methods Interviews were conducted with a purposive sample of 28 patients and 16 HCPs recruited from eight general practices across a range of socio-economic localities. Interviews were audio recorded, transcribed, anonymized and analysed thematically.Results Patients were motivated to attend an NHS Health Check because of health beliefs, the perceived value of the programme, a family history of cardiovascular and other diseases and expectations of receiving a general health assessment. Some patients reported benefits including reassurance and reinforcement of healthy lifestyles. Others experienced confusion and frustration about how results and advice were communicated, some having a poor understanding of the implications of their results. HCPs raised concerns about the skill set of some staff to competently communicate risk and lifestyle information.Conclusions To improve the satisfaction of patients attending and improve facilitation of lifestyle change, HCPs conducting the NHS Health Checks require sufficient training to equip them with appropriate skills and knowledge to deliver the service effectively.